经阴道彩色多普勒超声在宫颈癌诊断的应用效果与影像学特征探究

陈淑金　邱思花　肖雪琼

【摘要】 目的：探究经阴道彩色多普勒超声在宫颈癌诊断的应用效果与影像学特征。方法：选取2018年10月-2019年12月本院收治的60例宫颈癌患者及60例行健康体检的女性为研究对象，宫颈癌患者设为观察组，健康体检者设为对照组，对两组研究对象均行经阴道彩色多普勒超声检查，比较两组的宫颈大小检测结果、血流动力学指标，并分析观察组经阴道彩色多普勒超声检查的影像学特征。结果：观察组的宫颈左右径与前后径明显大于对照组，差异有统计学意义（P<0.05）;观察组的收缩期峰值血流速度快于对照组，其阻力指数低于对照组，差异有统计学意义（P<0.05）;通过对观察组影像学分析，得出宫颈癌患者主要的影像学特征。结论：在诊断宫颈癌中应用经阴道彩色多普勒超声，明确患者的宫颈大小，分析收缩期峰值血流速度与阻力指数，可有助于宫颈癌的诊断与病情评估。

【关键词】 宫颈癌诊断 经阴道彩色多普勒超声 收缩期峰值血流速度 阻力指数 影像学特征

doi：10.14033/j.cnki.cfmr.2020.21.027 文献标识码 B 文章编号 1674-6805（2020）21-00-03

Transvaginal Color Doppler Ultrasound in the Diagnosis of Cervical Cancer and Imaging Characteristics/CHEN Shujin， QIU Sihua， XIAO Xueqiong. //Chinese and Foreign Medical Research， 2020， 18（21）： -67

[Abstract] Objective： To explore the application effect and imaging characteristics of transvaginal color Doppler ultrasound in the diagnosis of cervical cancer. Method： From October 2018 to December 2019， 60 patients with cervical cancer and 60 women undergoing physical examination in our hospital were selected as the study objects. Cervical cancer patients were set as the observation group and healthy people as the control group. The two groups were examined by transvaginal color Doppler ultrasound， comparing the cervical size test results and hemodynamic indexes of the two groups， and analyzing the imaging characteristics of color Doppler ultrasound. Result： The diameter of cervix in the observation group was larger than that in the control group， the difference was statistically significant （P<0.05）. The peak systolic blood flow velocity of the observation group was faster than that of the control group， and its resistance index was lower than that of the control group， the difference was statistically significant （P<0.05）. According to the imaging analysis of the observation group， the main imaging characteristics of cervical cancer patients were obtained. Conclusion： In the diagnosis of cervical cancer， transvaginal color Doppler ultrasound can be used to determine the size of the cervix and analyze the peak systolic blood flow velocity and resistance index， which can help the diagnosis and condition evaluation of cervical cancer.

[Key words] Cervical cancer diagnosis Transvaginal Color Doppler ultrasound Peak systolic blood flow velocity Resistance index Imaging characteristics

First-authors address： Longyan First Hospital Affiliated to Fujian Medical University， Longyan 364000， China

宮颈癌是一种恶性肿瘤，具有较高的临床发病率，在早期阶段患者无明显症状，随着病情进一步发展，患者阴道可出现流血、排液等情况[1-2]。该疾病可能会引起患者输尿管梗阻、肾盂积水与尿毒症等，严重威胁患者生命健康。因此，针对宫颈癌需做到早诊断、早治疗，以提升临床治愈率[3]。目前，临床诊断宫颈癌的方案有宫颈碘试验、宫颈刮片细胞学检查、宫颈与宫颈管活组织检查，但由于早期宫颈癌患者多无明显的症状与体征，极易出现漏诊的情况。而随着近年来影像学水平的不断提高，经阴道彩色多普勒超声已成为诊断宫颈癌的常用方案，其具有安全、无创等优点，备受患者欢迎[4]。基于此，本次研究对2018年10月-2019年12月本院收治的60例宫颈癌患者及60例行健康体检的女性为研究对象进行临床分析，旨在探究经阴道彩色多普勒超声在诊断宫颈癌的应用效果与影像学特征，现报告如下。……